Jacquelyn Fry
Jacquelyn Fry is a Counselor in Eagle Point, Oregon. Licensed in Oregon. Registered with an NPI since 2017.
- Licensed in
- OR
- In the registry since
- 2017
- Specialties on file
- 3
Practice location Address checks out
413 Teakwood DrEagle Point, OR 97524-6608
Phone: (337) 509-8607
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Social Worker (primary) | Taxonomy 104100000X · Licence A14436 (OR) |
|---|---|
| Counselor | Taxonomy 101Y00000X |
| Case Manager/Care Coordinator | Taxonomy 171M00000X |
Record details
| NPI number | 1992218408 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | November 7, 2017 |
| Last updated in NPPES | April 17, 2024 |
| Certification date | April 17, 2024 |
| Mailing address | 413 Teakwood Dr, Eagle Point, OR 97524-6608 |